Hazardous Waste Shipment Checklist

• Manifest Audited

Uniform Hazardous Waste Manifest

• Use a preprinted approved manifest form.

  Yes

  No

  N/A

• Provide site's Generator ID number (PRD987378437).

  Yes

  No

  N/A

• Provide emergency response number (i.e 800-424-9300).

  Yes

  No

  N/A

• Provide generator's name and mailing address;<br><br>MSD International GmbH (Puerto Rico Branch) LLC<br>PO BOX 6060<br>Barceloneta, PR 00617

  Yes

  No

  N/A

• Provide generator's site address;<br><br>PR-2 Km 60.3<br>Arecibo, PR 00688

  Yes

  No

  N/A

• Provide transporter's name and EPA ID number.

  Yes

  No

  N/A

• Provide designated facility's name and EPA ID number.

  Yes

  No

  N/A

• Mark (X) each hazardous material shipped.

  Yes

  No

  N/A

• Use proper DOT Description, refer to Site's Waste List.

  Yes

  No

  N/A

• Number, quantity, and type of containers match physical inventory.

  Yes

  No

  N/A

• Provide units and waste codes, refer to Site's Waste List.

  Yes

  No

  N/A

• Provide special handling instructions, as necessary; ERG#, Seal#, Profile#, Truck#, Chemtrect contract#, etc.

  Yes

  No

  N/A

• Provide the Land Disposal Restriction form.

  Yes

  No

  N/A

• Provide a continuation sheet for overseas shipment.

  Yes

  No

  N/A

Containers/Package

• Containers are in good conditions (i.e. no dents, no leaks, not corroded).

  Yes

  No

  N/A

• Containers are labelled; use appropriate hazardous waste label and appropriate DOT markings.

  Yes

  No

  N/A

• Yes

  No

  N/A

• Containers are braced in the trailer, as necessary.

  Yes

  No

  N/A

Trailer

• Trailer is in good conditions.

  Yes

  No

  N/A

Transporter

• I certify that I have the emergency response guide for each of the material included in this shipment and being provided with the corresponding placards.
  
  Certifico tener la guia de respuesta a emergencias para cada uno de los materiales en este embarque y de ser provisto de los placards correspondientes.

• Add signature

  Sign

Site Representative

• Add signature

  Sign